An evidence-based education program to improve self-efficacy and independence in daily living activities for older adults: For this project, the student conducted a literature review to research evidence-based interventions and strategies to improve independence and self-care in older adults. They then developed an educational program incorporating those strategies targeted at improving confidence and ability in activities of daily living such as bathing, dressing, meal preparation, medication management and more. The program included both didactic learning and hands-on activities and practice opportunities. It was then tested by delivering the program to a small group of older adults living independently in the community. Pre and post tests as well as follow up surveys evaluated the effectiveness of the program in improving self-efficacy and identified problem areas.
A wellness program for veterans with post-traumatic stress disorder: For this capstone, the student identified a lack of accessible wellness and lifestyle management programs for veterans coping with PTSD. They conducted interviews with veterans and healthcare providers to better understand the barriers and needs. An evidence-based wellness program was then developed incorporating elements of mindfulness, yoga, nutrition education and stress management. Program content and structure was guided by OT practice frameworks and mental health rehabilitation approaches. A pilot of the 8-week program was run with a group of veterans. Both quantitative and qualitative data was collected through standardized assessments, journaling and interviews to evaluate outcome measures like stress, mental wellbeing, coping strategies and psychosocial participation. The results demonstrated positive impacts and helped identify areas for future program refinements.
A community garden inclusive design project: For their capstone, the student partnered with a local community garden that lacked accessibility. Through an occupational profile of residents and literature on inclusive design, common barriers to participation were identified. These included a lack of raised beds, difficult terrain, limited adaptability of tools and more. The student then took a leadership role in the redesign and adaptation of the garden space and tools using a universal design framework. This included installing accessible raised beds, compacted level pathways, ergonomic tools with adjustable features and consideration of sensory aspects. Educational materials were also developed. Follow up sessions with gardeners evaluated the usability and impacts on participation and health outcomes of community members with varying abilities.
A toolkit for fostering self-management of diabetes in older adults: For their capstone, the student recognized a lack of appropriate self-management resources for older adults with diabetes. Through a comprehensive literature review and interviews with older adults and their care partners, key components of effective self-management programs and resources were identified. Common barriers to older adults ability to independently manage their diabetes were also explored. Drawing on adult education principles and models of health behavior change, the student then developed a multi-modal, easy to use self-management toolkit. It included simplified educational materials, reminders for medication and appointments, adaptations to make glucose monitoring and injections easier, and strategies to incorporate management into daily habits and routines. The toolkit was piloted with older adults of varying cognitive and physical function to evaluate feasibility of use and impact on outcomes like glucose control, self-efficacy and psychosocial well-being. Feedback informed further refinements.
These are just a few examples of the types of in-depth capstone projects occupational therapy students may undertake to demonstrate their ability to independently plan and complete an applied research experience. Common elements include addressing an identified need through a review of supporting evidence and frameworks, development of an innovative program, product or approach, implementation of an intervention, and critical evaluation of both the process and outcomes achieved. Capstones allow students to apply their problem-solving, community engagement, leadership and clinical reasoning skills to make meaningful contributions addressing real world issues encountered in occupational therapy practice.